You must complete this form or visit the cashier's office to request that your financial aid be
used to pay for your tuition and fee bill. IF you do not request for your bill to be paid
your schedule will be dropped.

Financial Aid Charge Request

Fill in the required fields below

First Name:*

Last Name:*

E-mail:*

Invalid format.

Student Id Number:*

Date of Birth:*

Invalid format

Check the aid you wish to apply to your bill. You must check all of the aid that you wish to use to pay your tuition and fee bill.

Pell Grant - you must have enough grant funding to pay the entire bill or your schedule will be droppedScholarship - you must pay the additional $17.50 fees to the cashiers office before the end of the dayPACTWIA/TRAVAPlease make a selection.Minimum number of selections not met.Maximum number of selections exceeded.

Approval of charge *By checking Yes I understand that my account will be charged for my tuition and fees and that if I do not have enough funds to cover my charges my schedule will be dropped if I do not make payment in the cashier's office before the next payment due date.